四位一体的PICC专业护士分层级管理效果
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摘要
目的通过四位一体的PICC专业护士分层级管理,进行PICC专业护理人才梯队建设。方法依据护士的年资、学历、从事PICC相关工作年限、PICC置管例数等分为PICC初级、中级、高级专业护士,并对每层级专业护士分别实行"培训—考核—认证—使用"四位一体的管理模式。结果培养初级PICC专业护士43名、中级PICC专业护士25名、高级PICC专业护士9名,四位一体分层管理前后PICC置管患者的一次置管成功、导管异位、堵管、静脉炎发生率,差异均具有统计学意义(P<0.05),专业护士自我价值感明显上升(P<0.05),在静脉输液护理门诊、护理会诊、解决PICC疑难置管、疑难问题以及护理科研工作中发挥重要作用。结论在PICC专业护士管理中,结合实际,进行四位一体的分层级精细化管理,保证其成长,促进其发展。
Objective To build the specialized PICC nursing team through four-in-one integrated management mode and hierarchical management.Methods Nurses were divided into primary,intermediate and advanced specialized nurses according to their seniority and education.Nurses on each level were managed based on "training-test-certification-use" four integrated management mode. Results There were 43 primary PICC nurses, 25 intermediate PICC nurses and 9 senior PICC nurses. Before and after the four-in-one hierarchical management, the incidence of PICC catheterization success, catheter misplacement, catheter occlusion and phlebitis were significantly different(P<0.05). The self-worth of PICC nurses increased significantly(P<0.05). They played significant roles in PICC nursing clinics,nursing consultation,soving nursing difficult problem,and so on.Conclusion Hierarchical management can promote the growth and development of PICC specialized nurses.
Objective To build the specialized PICC nursing team through four-in-one integrated management mode and hierarchical management.Methods Nurses were divided into primary,intermediate and advanced specialized nurses according to their seniority and education.Nurses on each level were managed based on "training-test-certification-use" four integrated management mode. Results There were 43 primary PICC nurses, 25 intermediate PICC nurses and 9 senior PICC nurses. Before and after the four-in-one hierarchical management, the incidence of PICC catheterization success, catheter misplacement, catheter occlusion and phlebitis were significantly different(P<0.05). The self-worth of PICC nurses increased significantly(P<0.05). They played significant roles in PICC nursing clinics,nursing consultation,soving nursing difficult problem,and so on.Conclusion Hierarchical management can promote the growth and development of PICC specialized nurses.
引文
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[3] 程刚.员工工作成就感与组织承诺关系研究[D].武汉:湖北大学,2013:1.
[4] 周红娣,盛芝仁,柳春波.护士分层管理的实践与成效[J].护理管理杂志,2014,14(2):136-138.
[5] 郭娜菲,张玲娟.四位一体的分层级专科护士管理实践[J].护理管理杂志,2015,15(1):68-70.
[2] Kang J R ,Chen W ,Sun WY,et al.Peripherally inserted centralcatheter-related complications in cancer patients:prospectivestudy of over 50000 catheter days[J].J Vasc Access,2017,18(2):153-157.
[3] 程刚.员工工作成就感与组织承诺关系研究[D].武汉:湖北大学,2013:1.
[4] 周红娣,盛芝仁,柳春波.护士分层管理的实践与成效[J].护理管理杂志,2014,14(2):136-138.
[5] 郭娜菲,张玲娟.四位一体的分层级专科护士管理实践[J].护理管理杂志,2015,15(1):68-70.